Source	General Schedule
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIBACTERIALS FOR SYSTEMIC USE > BETA-LACTAM ANTIBACTERIALS, PENICILLINS

Authority Required (STREAMLINED)

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
11933CMPMWNP	AMOXICILLIN + CLAVULANIC ACID amoxicillin 875 mg + clavulanic acid 125 mg tablet, 10 (PI, CMI)	2	20	0	$20.42	$21.90	$25.35
	Available brands
	AMCLAVOX DUO FORTE 875/125a
	AMOXICILLIN/CLAVULANIC ACID-WGR 875/125a
	APO-AMOXY/CLAV 875/125a
	APO-Amoxycillin and Clavulanic Acida
	APX-Amoxicillin/Clavulanic Acida
	Alphaclav Duo Forte Viatrisa
	AmoxyClav generichealth 875/125a
	Blooms The Chemist Amoxicillin/Clavulanic Acid 875/125a
	Curam Duo Forte 875/125a
	Augmentin Duo fortea * Additional charge for this brand is $13.56B	2	20	0	$33.98	$21.90	$38.91

Source	General Schedule
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIBACTERIALS FOR SYSTEMIC USE > BETA-LACTAM ANTIBACTERIALS, PENICILLINS

Authority Required (STREAMLINED)

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
11941LMPMWNP	AMOXICILLIN + CLAVULANIC ACID amoxicillin 500 mg + clavulanic acid 125 mg tablet, 10 (PI, CMI)	2	20	0	$19.82	$21.30	$24.75
	Available brands
	AMCLAVOX DUO 500/125a
	AMOXICILLIN/CLAVULANIC ACID-WGR 500/125a
	APO-AMOXY/CLAV 500/125a
	APO-Amoxycillin/ Clavulanic Acid 500/125a
	APX-Amoxicillin/Clavulanic Acida
	AlphaClav Duoa
	Alphaclav Duo Viatrisa
	Curam Duo 500/125a
	Augmentin Duoa * Additional charge for this brand is $10.82B	2	20	0	$30.64	$21.30	$35.57

Source	General Schedule
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIBACTERIALS FOR SYSTEMIC USE > BETA-LACTAM ANTIBACTERIALS, PENICILLINS

Caution

Note

Restricted Benefit

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
1891MMPMWNP	AMOXICILLIN + CLAVULANIC ACID amoxicillin 500 mg + clavulanic acid 125 mg tablet, 10 (PI, CMI)	1	10	0	$16.80	$18.28	$21.73
	Available brands
	AMCLAVOX DUO 500/125a
	AMOXICILLIN/CLAVULANIC ACID-WGR 500/125a
	APO-AMOXY/CLAV 500/125a
	APO-Amoxycillin/ Clavulanic Acid 500/125a
	APX-Amoxicillin/Clavulanic Acida
	AlphaClav Duoa
	Alphaclav Duo Viatrisa
	Curam Duo 500/125a
	Augmentin Duoa * Additional charge for this brand is $5.41B	1	10	0	$22.21	$18.28	$27.14

Source	General Schedule
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIBACTERIALS FOR SYSTEMIC USE > BETA-LACTAM ANTIBACTERIALS, PENICILLINS

Caution

Restricted Benefit

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
1892NMPMWNP	AMOXICILLIN + CLAVULANIC ACID amoxicillin 125 mg/5 mL + clavulanic acid 31.25 mg/5 mL powder for oral liquid, 75 mL (PI, CMI)	1	1	1	$19.86	$21.77	$25.22
	Available brands
	Curam

Source	General Schedule
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIBACTERIALS FOR SYSTEMIC USE > BETA-LACTAM ANTIBACTERIALS, PENICILLINS

Caution

Restricted Benefit

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
5006LDP	AMOXICILLIN + CLAVULANIC ACID amoxicillin 875 mg + clavulanic acid 125 mg tablet, 10 (PI, CMI)	1	10	0	$17.10	$18.58	$22.03
	Available brands
	AMCLAVOX DUO FORTE 875/125a
	AMOXICILLIN/CLAVULANIC ACID-WGR 875/125a
	APO-AMOXY/CLAV 875/125a
	APO-Amoxycillin and Clavulanic Acida
	APX-Amoxicillin/Clavulanic Acida
	Alphaclav Duo Forte Viatrisa
	AmoxyClav generichealth 875/125a
	Blooms The Chemist Amoxicillin/Clavulanic Acid 875/125a
	Curam Duo Forte 875/125a
	Augmentin Duo fortea * Additional charge for this brand is $6.78B	1	10	0	$23.88	$18.58	$28.81

Source	General Schedule
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIBACTERIALS FOR SYSTEMIC USE > BETA-LACTAM ANTIBACTERIALS, PENICILLINS

Caution

Restricted Benefit

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
5008NDP	AMOXICILLIN + CLAVULANIC ACID amoxicillin 500 mg + clavulanic acid 125 mg tablet, 10 (PI, CMI)	1	10	0	$16.80	$18.28	$21.73
	Available brands
	AMCLAVOX DUO 500/125a
	AMOXICILLIN/CLAVULANIC ACID-WGR 500/125a
	APO-AMOXY/CLAV 500/125a
	APO-Amoxycillin/ Clavulanic Acid 500/125a
	APX-Amoxicillin/Clavulanic Acida
	AlphaClav Duoa
	Alphaclav Duo Viatrisa
	Curam Duo 500/125a
	Augmentin Duoa * Additional charge for this brand is $5.41B	1	10	0	$22.21	$18.28	$27.14

Source	General Schedule
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIBACTERIALS FOR SYSTEMIC USE > BETA-LACTAM ANTIBACTERIALS, PENICILLINS

Caution

Restricted Benefit

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
5009PDP	AMOXICILLIN + CLAVULANIC ACID amoxicillin 125 mg/5 mL + clavulanic acid 31.25 mg/5 mL powder for oral liquid, 75 mL (PI, CMI)	1	1	0	$19.86	$21.77	$25.22
	Available brands
	Curam

Source	General Schedule
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIBACTERIALS FOR SYSTEMIC USE > BETA-LACTAM ANTIBACTERIALS, PENICILLINS

Caution

Restricted Benefit

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
5011RDP	AMOXICILLIN + CLAVULANIC ACID amoxicillin 400 mg/5 mL + clavulanic acid 57 mg/5 mL powder for oral liquid, 60 mL (PI, CMI)	1	1	0	$19.86	$21.77	$25.22
	Available brands
	Curam Duoa
	Augmentin Duo 400a * Additional charge for this brand is $5.26B	1	1	0	$25.12	$21.77	$30.48

Source	General Schedule
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIBACTERIALS FOR SYSTEMIC USE > BETA-LACTAM ANTIBACTERIALS, PENICILLINS

Caution

Note

Restricted Benefit

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
8254KMPMWNP	AMOXICILLIN + CLAVULANIC ACID amoxicillin 875 mg + clavulanic acid 125 mg tablet, 10 (PI, CMI)	1	10	0	$17.10	$18.58	$22.03
	Available brands
	AMCLAVOX DUO FORTE 875/125a
	AMOXICILLIN/CLAVULANIC ACID-WGR 875/125a
	APO-AMOXY/CLAV 875/125a
	APO-Amoxycillin and Clavulanic Acida
	APX-Amoxicillin/Clavulanic Acida
	Alphaclav Duo Forte Viatrisa
	AmoxyClav generichealth 875/125a
	Blooms The Chemist Amoxicillin/Clavulanic Acid 875/125a
	Curam Duo Forte 875/125a
	Augmentin Duo fortea * Additional charge for this brand is $6.78B	1	10	0	$23.88	$18.58	$28.81

Source	General Schedule
Body System	ANTIINFECTIVES FOR SYSTEMIC USE > ANTIBACTERIALS FOR SYSTEMIC USE > BETA-LACTAM ANTIBACTERIALS, PENICILLINS

Caution

Restricted Benefit

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
8319WMPMWNP	AMOXICILLIN + CLAVULANIC ACID amoxicillin 400 mg/5 mL + clavulanic acid 57 mg/5 mL powder for oral liquid, 60 mL (PI, CMI)	1	1	1	$19.86	$21.77	$25.22
	Available brands
	Curam Duoa
	Augmentin Duo 400a * Additional charge for this brand is $5.26B	1	1	1	$25.12	$21.77	$30.48